| NPI | 1780865154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO 0012355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 171869) |
| 175F00000X Naturopath (Licence: CO 0000026) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2015-04-09 |