| NPI | 1649947144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 104706) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 104706) |
| 101YM0800X Counselor, Mental Health (Licence: CA 104706) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2023-01-27 |