| NPI | 1518410760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7673) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 4147) |
| Enumeration Date | 2016-07-24 |
| Last Update Date | 2024-12-17 |