| NPI | 1568680569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 6393) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC6393) |
| 101YP2500X Counselor, Professional (Licence: LA 3035) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-09-14 |