| NPI | 1356917231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 135374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 111603) |
| 101YM0800X Counselor, Mental Health (Licence: CA 111603) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2025-11-21 |