| NPI | 1801107602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA 10360) |
| 101YM0800X Counselor Mental Health (Licence: CA 33664) | |
| 1041C0700X Social Worker Clinical (Licence: CA 75673) | |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2023-02-21 |