| NPI | 1316114762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 29689) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 70018) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2016-08-31 |