| NPI | 1114544814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 107610) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71120) |
| 101YM0800X Counselor, Mental Health (Licence: CA 107610) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2024-12-16 |