| NPI | 1083957690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T1189) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 66335) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2023-11-10 |