| NPI | 1144415654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 65646) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 65646) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2018-04-16 |