| NPI | 1235614553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 86088) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 86088) |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |