| NPI | 1467826222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW86730) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34011168A) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW67931) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2405368) | |
| 1041C0700X Social Worker, Clinical (Licence: NV 12946-C) | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2026-07-28 |