| NPI | 1265781769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW33365) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA ASW) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2013-07-18 |