| NPI | 1154479566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LCS 22158) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS 22158) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |