| NPI | 1164070116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 103006) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACSW103006) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2023-07-14 |