| NPI | 1568072551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 103977) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 103977) |
| 104100000X Social Worker | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2021-12-07 |