| NPI | 1750082020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW135985) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW113577) |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2026-02-03 |