| NPI | 1760585939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 34989) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW19447) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2017-04-12 |