| NPI | 1649655937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW 67407) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW 67407) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2017-08-11 |