| NPI | 1245796150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 110254) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 93771) |
| Enumeration Date | 2019-02-15 |
| Last Update Date | 2026-09-09 |