| NPI | 1508914987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 52650) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 4086) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2008-08-22 |