| NPI | 1255708202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 2608) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 2608) |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2016-01-14 |