| NPI | 1962986109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW131347) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW103425) |
| 104100000X Social Worker (Licence: CA ASW103425) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2025-08-14 |