| NPI | 1710321815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 116063) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR T1949) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2023-02-04 |