| NPI | 1821654252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 99070) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 99070) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2023-08-15 |