| NPI | 1801298518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 102513) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67363) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: CA ACSW67363) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2023-06-09 |