| NPI | 1568038198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 139843) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 102237) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2026-07-15 |