| NPI | 1801392162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW82258) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 099273) |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2019-10-02 |