| NPI | 1093605073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 131122) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 131122) |
| 101YP2500X Counselor, Professional (Licence: CA 131122) | |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |