| NPI | 1508593534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 115748) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 115748) |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2023-06-22 |