| NPI | 1417502956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 130903) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 12850) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-10-21 |