| NPI | 1780756015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW 29329) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-11-30 |