| NPI | 1871124172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92706) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA ASW92706) |
| 1041C0700X Social Worker, Clinical (Licence: CA 92706) | |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2023-06-26 |