| NPI | 1730810409 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 109924)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 109924)  | 
| 101YM0800X Counselor, Mental Health | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-06-22 | 
| Last Update Date | 2024-10-02 |