| NPI | 1104135185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF 64617) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2011-10-21 |