| NPI | 1164192886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 114520) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 114520) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2024-09-03 |