| NPI | 1407015993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 52747) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 50660) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2021-08-19 |