| NPI | 1942639711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 36960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 36960) |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2015-09-28 |