| NPI | 1235809161 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 127937)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW103906)  | 
| 171M00000X Case Manager/Care Coordinator | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-09-13 | 
| Last Update Date | 2025-07-24 |