| NPI | 1831596089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 135369) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA Trainee) |
| 104100000X Social Worker (Licence: IA 122649) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2026-06-16 |