| NPI | 1538626890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: CA 225400000X) |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2021-12-30 |