| NPI | 1376115790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 133328) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102488) |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-11-10 |