| NPI | 1073088670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 93773) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 93773) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2022-06-07 |