| NPI | 1083345334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 131794) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 131794) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2022-06-17 |