| NPI | 1013640853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127135) |
| Additional Taxonomies | 104100000X Social Worker |
| 101YM0800X Counselor, Mental Health (Licence: CA 96639) | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2025-09-29 |