| NPI | 1245995661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 103860) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 101YM0800X) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-12-14 |