| NPI | 1457079113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA ASW139498) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 373H00000X Day Training/Habilitation Specialist | |
| 101Y00000X Counselor | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2026-07-09 |