| NPI | 1437766565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 104251) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 85425) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2026-03-16 |