| NPI | 1497290696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 8680) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.012550) |
| Enumeration Date | 2016-12-23 |
| Last Update Date | 2021-10-13 |