| NPI | 1700323110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW85740) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW34741) |
| Enumeration Date | 2017-01-23 |
| Last Update Date | 2018-09-28 |