| NPI | 1902078934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 95922) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: MS 1348) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2025-07-09 |