| NPI | 1447925896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09931471) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 90180) |
| 101YM0800X Counselor, Mental Health (Licence: CA 90180) | |
| 1041C0700X Social Worker, Clinical (Licence: CA LCSW122284) | |
| Enumeration Date | 2021-08-09 |
| Last Update Date | 2025-09-11 |