| NPI | 1689223505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 103374) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 103374) |
| 101YM0800X Counselor, Mental Health (Licence: CA 103374) | |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2025-10-21 |