| NPI | 1407949316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 27387) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 16732) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2015-01-08 |