| NPI | 1245754159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW132461) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW103159) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW103159) | |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2025-07-30 |