| NPI | 1598166308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 110173) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2025-09-03 |