| NPI | 1861932907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA ASW113357) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW113357) |
| 101YM0800X Counselor Mental Health (Licence: CA ASW 75702) | |
| 101YM0800X Counselor Mental Health (Licence: CA 275459) | |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2023-08-08 |