| NPI | 1225414139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L13567) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: CA 72900) | |
| 104100000X Social Worker (Licence: CA 72900) | |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2022-08-29 |