| NPI | 1205974664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF 52514) |
| 1041C0700X Social Worker Clinical (Licence: CA IMF 52514) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-10-01 |