| NPI | 1205210051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95311) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 68131) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health (Licence: CA 68131) | |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2025-12-01 |