| NPI | 1831745074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 88157) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 143260) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-06-21 |