| NPI | 1275105405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 11225) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2023-06-08 |