| NPI | 1225204571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW80331) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 80331) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2023-06-12 |