| NPI | 1699810903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 67544) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 48240) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2013-09-18 |