| NPI | 1821650722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 136472) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW98031) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2026-03-10 |