| NPI | 1063782787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 21480187) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 24231) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-10-16 |