| NPI | 1063295574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 114544) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 114544) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-08-29 |