| NPI | 1861911745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: CA LCSW103351) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical (Licence: CA ACSW78352) | |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2025-03-06 |