| NPI | 1275685125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW4178) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: CA LCSW4178) |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2025-09-11 |