| NPI | 1083277958 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7051) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 7051) | 
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-04-17 | 
| Last Update Date | 2023-09-06 |