| NPI | 1902799620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW127189) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW127189) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-06-02 |
| Last Update Date | 2026-05-01 |