| NPI | 1417192394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 25179) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 25179) |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2013-06-06 |