| NPI | 1548756430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 11543) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 11543) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2026-02-17 |