| NPI | 1518346147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 139461) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 91558) |
| 101YM0800X Counselor, Mental Health (Licence: CA 91558) | |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2026-07-06 |