| NPI | 1952044703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 91845) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 91845) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA 91845) | |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2023-12-21 |