| NPI | 1366085995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 119371) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 92619) | |
| 104100000X Social Worker (Licence: CA 92619) | |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2025-05-19 |