| NPI | 1093910515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPT19247) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 167G0000X) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |