| NPI | 1073866208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 81401) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 36464) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW36464) | |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2026-08-24 |