| NPI | 1790202646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 140886) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 101YS0200X Counselor School | |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2024-01-12 |