| NPI | 1982323911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW135019) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA ACSW111535) | |
| 104100000X Social Worker (Licence: CA ACSW111535) | |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2025-11-05 |