| NPI | 1730379397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA CNS4101) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA RN559391) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2014-01-28 |