| NPI | 1679220909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 110751) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: CA 138489) | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2026-06-03 |