| NPI | 1912488073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ACSW89206) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261QS1000X Clinic/Center, Student Health | |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2023-06-08 |