| NPI | 1265109334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: CA 210199278) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 103490) |
| 1041C0700X Social Worker Clinical (Licence: CA 103490) | |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2025-08-19 |