| NPI | 1336456292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 101269) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 101269) |
| 101YM0800X Counselor Mental Health (Licence: CA 66603) | |
| 101YM0800X Counselor Mental Health | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2024-01-26 |