| NPI | 1275105611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 135621) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA 135621) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2026-05-21 |