| NPI | 1144573155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW34195) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW34195) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2013-07-18 |