| NPI | 1033985296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R8690) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12555) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |