| NPI | 1578659355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM NM66972) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CA PSY21535) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-08-29 |