| NPI | 1902039860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 94310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW94310) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2025-03-18 |