| NPI | 1821841552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: CA 86689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 86689) |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-12 |