| NPI | 1912551508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW105902) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CA ASW105902) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-06-18 |