| NPI | 1326708033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 129051) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 10627) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2021-12-21 |