| NPI | 1205946282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 74219) |
| 1041C0700X Social Worker, Clinical (Licence: CA 74219) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2024-12-04 |