| NPI | 1124538210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ACSW103911) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA 227570) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2022-06-03 |