| NPI | 1891281689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 115414) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 115414) |
| 104100000X Social Worker | |
| 101YM0800X Counselor, Mental Health (Licence: CA 83260) | |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2026-08-05 |