| NPI | 1841783347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 83388) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2023-08-02 |