| NPI | 1396383899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW122164) |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2026-05-06 |