| NPI | 1790386175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 133369) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 119858) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2022-11-02 |