| NPI | 1346934908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA VN291919) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN291919) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2023-06-07 |