| NPI | 1861003410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125256) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 229008) |
| 104100000X Social Worker (Licence: CA 263565) | |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2025-01-27 |