| NPI | 1851722540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7580) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SC 7310) |
| Enumeration Date | 2013-12-05 |
| Last Update Date | 2023-10-23 |