| NPI | 1174844518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 286) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 286) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2018-10-11 |