| NPI | 1265680847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 174400000X Specialist (Licence: CA 125001555) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2009-07-29 |