| NPI | 1902945959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA 70415) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW 22313) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2025-04-17 |