| NPI | 1588117808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 117317) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2025-07-21 |