| NPI | 1124260146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 99507) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 72736) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2021-09-13 |