| NPI | 1649208794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 8382) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AR P0807057) |
| 101YP2500X Counselor, Professional (Licence: AR P0807057) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2021-04-02 |