| NPI | 1790974962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW60532) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2019-05-09 |