| NPI | 1689221715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 140435) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW96578) |
| 101YM0800X Counselor, Mental Health (Licence: CA 96578) | |
| Enumeration Date | 2019-08-22 |
| Last Update Date | 2026-08-03 |