| NPI | 1811727274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 133876) |
| 101YP2500X Counselor, Professional (Licence: CA 12031) | |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-09-12 |