| NPI | 1811143753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7901) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10467) |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2023-02-14 |