| NPI | 1679281802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 140914) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 111836) |
| 104100000X Social Worker (Licence: CA 111836) | |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2026-08-19 |