NPI | 1407923782 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC23948) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA MFC23948) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2007-07-08 |