| NPI | 1538615612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 119221) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X (Licence: CA p70877) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2024-09-13 |