| NPI | 1962178897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 137879) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: CA 115958) | |
| Enumeration Date | 2021-08-19 |
| Last Update Date | 2026-04-03 |