| NPI | 1407330715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW84238) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CA ASW84238) |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2019-06-07 |