| NPI | 1710494992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 110609) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 66125) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2022-10-19 |