| NPI | 1629552286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 126530) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA 126530) |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2018-09-24 |