| NPI | 1588445621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 117245) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 117245) |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2025-08-20 |