| NPI | 1972819969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 28276) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA ASW28276) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2014-08-14 |