| NPI | 1841805967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 96747) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 96747) |
| 1041C0700X Social Worker, Clinical (Licence: CA 96747) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-08-22 |