| NPI | 1801097605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA IMF55989) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WA RC00053396) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2009-01-05 |