| NPI | 1215353362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 6282) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2023-09-12 |