| NPI | 1992394506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA LCSW139241) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW98794) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA ASW98794) | |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2026-07-09 |