| NPI | 1063045730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 12399) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2022-11-09 |