| NPI | 1831502616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA PCCI3030) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2020-03-04 |