| NPI | 1215316534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 89957) |
| 104100000X Social Worker (Licence: CA 89957) | |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2021-03-09 |