| NPI | 1619506235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14743) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003708A) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-01-09 |