| NPI | 1427531078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 121919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95886) |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2025-12-15 |