| NPI | 1255114864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 138234) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 115956) |
| 104100000X Social Worker (Licence: CA 115956) | |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2026-05-26 |