| NPI | 1275098220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 111691) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 87828) |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2025-03-12 |