| NPI | 1831805985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 120007) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 11736) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical (Licence: MA LICSW1140152) | |
| Enumeration Date | 2023-01-23 |
| Last Update Date | 2026-03-19 |