| NPI | 1174153589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW123249) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW123249) |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2024-10-02 |