| NPI | 1396351656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 14239) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC7613) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2024-03-02 |