| NPI | 1699524884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: MI 6451023647) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC12777) |
| Enumeration Date | 2024-05-18 |
| Last Update Date | 2025-01-08 |