| NPI | 1316193964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: CA 305276) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 305276) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2013-11-21 |