| NPI | 1770660433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MJ17032) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CA PSY12400) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-09 |