| NPI | 1376281204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 11480) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 11480) |
| Enumeration Date | 2022-05-20 |
| Last Update Date | 2022-05-26 |