| NPI | 1487207932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 127171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 106408) |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2024-11-16 |