| NPI | 1750079513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ACSW91720) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ACSW91720) |
| 104100000X Social Worker (Licence: CA ACSW91720) | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2023-06-15 |