| NPI | 1649873464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: CA 121152) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 104100000X Social Worker (Licence: CA 121152) | |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2025-04-04 |