| NPI | 1518747203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 13623) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 13623) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |