| NPI | 1619551058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 116121) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 116121) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2023-06-28 |