| NPI | 1083196240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 13260) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 5026) |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2023-03-06 |