| NPI | 1639732696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW10971) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CA 109171) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2022-07-21 |