| NPI | 1487301511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 16130) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 10970) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-08-28 |