| NPI | 1063988517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 126476) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW96111) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2026-03-30 |