| NPI | 1215024021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MFT8032) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: CA MFT8032) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |