| NPI | 1801669718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 142380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14997) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-02 |