| NPI | 1457374043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 29276) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 225887) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-03-18 |