| NPI | 1013795137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 18205) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 18205) |
| 104100000X Social Worker (Licence: CA 18205) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 18205) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2025-06-19 |