| NPI | 1114088432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 115212) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 31265) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2023-05-26 |