| NPI | 1760848014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 91983) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101Y00000X Counselor (Licence: 76219) | |
| Enumeration Date | 2015-12-31 |
| Last Update Date | 2025-05-08 |