| NPI | 1023595840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 91166) |
| 101YM0800X Counselor, Mental Health (Licence: CA 91166) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-05-08 |