| NPI | 1336331933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 102557) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR T1873) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2023-06-05 |