| NPI | 1386310498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 136861) |
| Additional Taxonomies | 104100000X Social Worker |
| 101Y00000X Counselor (Licence: CA 103726) | |
| 101Y00000X Counselor | |
| 104100000X Social Worker (Licence: CA 103726) | |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2026-02-25 |