| NPI | 1710648449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW98182) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW98182) |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-06-15 |