| NPI | 1265000665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW129384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW101199) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW101199) | |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2026-02-05 |