| NPI | 1659697811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 70820) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 50917) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2025-06-23 |