| NPI | 1376828822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA mft6604) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CA MFT6604) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2011-10-17 |