| NPI | 1104495290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 102812) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA acsw102812) |
| 1041C0700X Social Worker, Clinical | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-06-27 |