| NPI | 1699493684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 132268) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 100188) |
| 101YM0800X Counselor, Mental Health (Licence: CA 100188) | |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2026-01-14 |