| NPI | 1912426651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 105625) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 89650) |
| 101YM0800X Counselor, Mental Health (Licence: CA 89650) | |
| 225400000X Rehabilitation Practitioner (Licence: CA 89650) | |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-01-03 |