| NPI | 1821768656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 108091) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 92853) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2022-05-18 |