| NPI | 1720328867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 9151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4153) |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2023-01-13 |