| NPI | 1427461227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 93739) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW60333) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-01-16 |