| NPI | 1225268014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 30176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 30176) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2011-04-28 |