| NPI | 1669090254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 122843) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: CA 102196) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2024-06-04 |