| NPI | 1265626907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 63273) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 22152) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2015-04-02 |