| NPI | 1912597543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 98072) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 98072) |
| 1041C0700X Social Worker, Clinical (Licence: CA ASW98072) | |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2022-02-17 |