| NPI | 1861524191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 46192) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2012-09-06 |