| NPI | 1609562594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 111776) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW111776) |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-05-25 |