| NPI | 1659519486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA asw20118) |
| 101YM0800X Counselor, Mental Health (Licence: CA 61940) | |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2024-02-01 |