| NPI | 1366193914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 123113) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2024-07-25 |