| NPI | 1790191716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 102734) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 102734) |
| 1041C0700X Social Worker, Clinical (Licence: CA 67184) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-09-06 |