| NPI | 1700465523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 131272) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW100134) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2025-07-09 |