| NPI | 1740298819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY24917) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2012-03-30 |