| NPI | 1295948461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PT 30476) |
| Additional Taxonomies | 172A00000X Driver (Licence: CA HO291393) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |