| NPI | 1558910901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 9224) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 4307) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-03-10 |