| NPI | 1841768249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA ASW86034) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW86034) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2019-08-09 |