| NPI | 1982991642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 8487) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC3038) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2024-11-07 |