| NPI | 1063719490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 104144) |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2021-11-01 |