| NPI | 1871879544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR L6934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 71097) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2016-10-27 |