| NPI | 1043617871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 93988) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW61328) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2025-08-26 |