| NPI | 1740878321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13765) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 6681) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2023-05-11 |