| NPI | 1396402459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 117549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7312) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |