| NPI | 1225550163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW90843) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW90843) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2019-09-10 |