| NPI | 1053252957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 89459) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW89459) |
| Enumeration Date | 2026-04-03 |
| Last Update Date | 2026-07-30 |