| NPI | 1558942409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW127546) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW99141) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-06-09 |