| NPI | 1619540630 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 16134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 9629) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-10-17 |