| NPI | 1912563289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 112576) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 89610) |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-03-20 |