| NPI | 1689257966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 98101) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 98101) |
| 101Y00000X Counselor (Licence: CA 98101) | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2026-04-23 |