| NPI | 1023292158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA CAADE051086) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101YM0800X) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2008-06-16 |