| NPI | 1932318938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 94651) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 46591) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2019-05-01 |