| NPI | 1568937282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 100415) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR T1469) |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2018-10-09 |