| NPI | 1063870996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 105591) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2021-05-13 |