| NPI | 1912674524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW131247) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW103143) | |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: CA ASW103143) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2025-07-08 |