| NPI | 1023773181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 124843) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 1041C0700X Social Worker Clinical | |
| 1041C0700X Social Worker Clinical (Licence: CA 124843) | |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2024-09-19 |