| NPI | 1750036539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 110589) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 6750) |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2022-02-19 |