| NPI | 1821462151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 5941) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 9570922-6004) |
| 101YM0800X Counselor, Mental Health (Licence: UT 9570922-6009) | |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2020-03-02 |