| NPI | 1699182360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13468) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 3697) |
| 101YP2500X Counselor, Professional (Licence: CA 3697) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2023-05-25 |