| NPI | 1770152431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 114325) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 78711) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2025-08-14 |