| NPI | 1114589819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 125758) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 91237) |
| 1041C0700X Social Worker, Clinical (Licence: CA 91237) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2025-05-27 |