| NPI | 1427463520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF75734) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 75734) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |