| NPI | 1043733868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 104860) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCSW104860) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2025-02-20 |