| NPI | 1780340620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 142598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 120808) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2023-11-14 |