| NPI | 1396885976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 67194) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 101Y00000X Counselor | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2011-06-27 |