| NPI | 1124635172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 16389) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8217) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2024-05-24 |