| NPI | 1538623004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 106568) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC6302) |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2023-09-25 |