| NPI | 1568819175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PCCI3648) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: LA 5885) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2017-01-20 |