| NPI | 1629511134 |
|---|---|
| Other Name | N/A N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW85386) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW85386) |
| 1041C0700X Social Worker Clinical (Licence: CA ASW85386) | |
| 251B00000X Case Management | |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2019-06-11 |