| NPI | 1598012080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 104587) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 67047) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2024-04-23 |