| NPI | 1336692912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 134383) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
| 101YM0800X Counselor, Mental Health (Licence: CA 91838) | |
| 104100000X Social Worker (Licence: CA 91838) | |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2025-10-21 |