| NPI | 1831407733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW101046) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor Mental Health (Licence: CA ASW36915) | |
| 104100000X Social Worker (Licence: CA ASW36915) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2021-11-19 |