| NPI | 1104682475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 136275) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12795) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-06-27 |