| NPI | 1609291269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR C5676) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF 75045) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2020-07-28 |