| NPI | 1467113506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 71115) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 114877) |
| 1041C0700X Social Worker, Clinical (Licence: CA 71115) | |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2023-08-01 |