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 |