| NPI | 1194982611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA MFC 43500) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA MFC43500) |
| 101YM0800X Counselor Mental Health (Licence: CA 43500) | |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2021-04-11 |