| NPI | 1891045506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 66220) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CA 66220) |
| 101Y00000X Counselor | |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2015-06-26 |