| NPI | 1770764334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR 23-QMHP-R-2008) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW60939) |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2023-06-14 |