| NPI | 1629549548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC4400) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 114821) |
| 101YM0800X Counselor, Mental Health (Licence: CA 9247) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-05-23 |