| NPI | 1912519893 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125890) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95907) |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW95907) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2024-09-11 |