| NPI | 1316243967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 7548) |
| 101YM0800X Counselor, Mental Health (Licence: CA PCI 69) | |
| Enumeration Date | 2011-01-30 |
| Last Update Date | 2015-04-23 |