| NPI | 1407980071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 35231) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 35231) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2016-02-18 |