| NPI | 1649546508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW81964) |
| 101YM0800X Counselor, Mental Health (Licence: CA asw32589) | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2022-02-01 |