| NPI | 1396305462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 5022) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC5022) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2021-03-23 |