| NPI | 1487335097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHP-R-2320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW105081) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-09-07 |