| NPI | 1841966231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 100517) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 100517) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA 100517) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 100517) | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2023-05-25 |