| NPI | 1942340989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA IMF 56651) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 225400000X Rehabilitation Practitioner (Licence: CA IMF 56651) | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-02-03 |