| NPI | 1821663980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 14475) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA APCC14475) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-05-20 |