| NPI | 1821729922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 130613) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 108653) |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker (Licence: CA 108653) | |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2025-06-11 |