| NPI | 1841832979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 127108) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90631) |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2024-12-16 |