| NPI | 1609533710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 110560) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 110560) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2025-05-02 |