| NPI | 1932365939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: CA 24186) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 24186) |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2012-08-14 |