| NPI | 1275050494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105207) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-06-15 |