| NPI | 1023895240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 133967) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 11980) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-01-15 |