| NPI | 1831646884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW112303) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 112303) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW78157) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2023-02-07 |