| NPI | 1750124657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 146864) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 16602) |
| Enumeration Date | 2024-06-17 |
| Last Update Date | 2024-08-29 |