| NPI | 1710381140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW111969) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA ACSW111969) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2023-07-12 |