| NPI | 1184083339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA IMF90775) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2018-06-07 |