| NPI | 1750851820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 83677) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health (Licence: 83677) | |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |