| NPI | 1578665436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF62841) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF44934) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2010-05-11 |