| NPI | 1518309764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA ASW63428) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA ASW63428) |
| Enumeration Date | 2013-07-29 |
| Last Update Date | 2015-06-29 |