| NPI | 1801801220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T1158) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA mfc 20774) |
| 101YM0800X Counselor, Mental Health (Licence: UT 786520-3902) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2023-07-07 |