| NPI | 1477058956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 137694) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW112342) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2026-04-02 |