| NPI | 1093976763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 33598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NV 0760) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |