| NPI | 1679995831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW95284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95284) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2022-06-02 |