| NPI | 1538100219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SC NBCC #36874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC LPC #1925) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2016-02-04 |