| NPI | 1962986711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW106117) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW106117) |
| 101YM0800X Counselor, Mental Health (Licence: CA ASW85413) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 120110) | |
| Enumeration Date | 2018-09-18 |
| Last Update Date | 2026-08-21 |