| NPI | 1770253387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OR QMHA-1644) |
| Additional Taxonomies | 132700000X Dietary Manager |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-10-12 |