| NPI | 1912674524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ASW103143) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YM0800X Counselor Mental Health (Licence: CA ASW103143) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2023-07-12 |