NPI | 1871769729 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC35120) |
Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CA RD 675059) |
Enumeration Date | 2008-05-01 |
Last Update Date | 2010-01-12 |