| NPI | 1831747310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13461) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7825) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2023-03-22 |