| NPI | 1689825150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 69391) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2023-12-15 |