| NPI | 1043731839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 5874) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: LA 5872) |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2022-09-27 |