| NPI | 1154961787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ACSW92435) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW92435) |
| Enumeration Date | 2020-01-11 |
| Last Update Date | 2020-11-17 |