| NPI | 1619272150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C1391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC18419) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2011-01-13 |