| NPI | 1447366364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MF15752) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA MF15752) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |