| NPI | 1225694656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 132428) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW101019) |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW101019) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2025-08-01 |