| NPI | 1053738211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 98932) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 98932) |
| 104100000X Social Worker (Licence: CA 64110) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2021-07-15 |