| NPI | 1881371623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW130311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW109708) |
| 104100000X Social Worker (Licence: CA ASW109708) | |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2025-06-15 |