| NPI | 1073970802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92266) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WA 70102711) |
| 104100000X Social Worker (Licence: TX 61906) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2026-08-05 |