| NPI | 1609367028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW90022) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW90022) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2021-01-27 |