| NPI | 1134651045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 130641) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 13950) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2025-01-08 |