| NPI | 1851633556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13295) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 13295) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2014-02-18 |