| NPI | 1205581154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW106411) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW106411) |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2023-06-29 |