| NPI | 1992369961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CA ACSW102958) |
| Additional Taxonomies | 101Y00000X Counselor |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2021-08-17 |