| NPI | 1124512074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 132587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109760) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2026-09-14 |