| NPI | 1174996789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 113878) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF87837) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2021-12-06 |