| NPI | 1649581158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 109242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 109242) |
| 101YM0800X Counselor, Mental Health (Licence: CA 109242) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2024-04-16 |