| NPI | 1013238484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 64556) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCSW64556) |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2025-01-23 |