| NPI | 1376676890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA ASW 20276) |
| 103TR0400X Psychologist Rehabilitation | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-07-01 |