| NPI | 1316557440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW133177) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 103318) |
| 101YM0800X Counselor, Mental Health (Licence: CA LCSW133177) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2025-09-15 |