| NPI | 1902336480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW100089) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78095) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2021-03-22 |