| NPI | 1033692140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 91811) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 91811) |
| 101YM0800X Counselor, Mental Health (Licence: CA 37058) | |
| 104100000X Social Worker (Licence: CA 37058) | |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2021-05-27 |