| NPI | 1255608774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 139482) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health (Licence: CA 103139) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2026-07-14 |