| NPI | 1073933982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 3288) |
| 101YP2500X Counselor, Professional (Licence: CA 3288) | |
| 101YP2500X Counselor, Professional (Licence: MN 780) | |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2022-04-27 |