| NPI | 1134690902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 96412) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 1003868803) |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2025-08-26 |