| NPI | 1417542218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 100458) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 11385) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-06-03 |