| NPI | 1295225092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 125774) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 96567) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2022-04-28 |