| NPI | 1336676204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW76457) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW76457) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2018-04-04 |