| NPI | 1437563384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 15492) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2024-03-04 |