| NPI | 1699257725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 11036) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 6687) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2022-05-25 |