NPI | 1750423570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC41893) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA R640202) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2016-12-21 |