| NPI | 1760201073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 125656) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 337617) |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-23 |