| NPI | 1003570243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 101395) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101395) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2024-09-24 |