| NPI | 1255466579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS5978) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2017-09-21 |