| NPI | 1952867715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 86790) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: 86790) |
| 1041C0700X Social Worker Clinical (Licence: CA 86790) | |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2024-03-06 |