| NPI | 1992102768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA 64330) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 64330) |
| 101Y00000X Counselor | |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2018-09-19 |