| NPI | 1164075438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 89856) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW89856) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2024-06-21 |