| NPI | 1881835296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 81509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67147) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2018-06-28 |