| NPI | 1568631422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC 45845) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF47797) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-09-23 |