| NPI | 1508535089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 111492) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 111492) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2023-06-07 |