| NPI | 1265047310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 115567) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW87348) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-06-07 |