| NPI | 1972770840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF#95399) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2018-05-07 |