| NPI | 1730623703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 6514) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA PC003979) |
| Enumeration Date | 2016-12-11 |
| Last Update Date | 2023-06-22 |