| NPI | 1205581154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW138898) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA asw106411) |
| 104100000X Social Worker (Licence: CA ASW106411) | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2026-06-01 |