| NPI | 1386996213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 101025) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ACS100194) |
| 101YM0800X Counselor, Mental Health (Licence: CA ACS65391) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2021-05-26 |