| NPI | 1407575038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC14469) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2023-09-06 |