| NPI | 1225562952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 125280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ASW92396) |
| 101YM0800X Counselor, Mental Health (Licence: CA 92396) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2025-03-19 |