| NPI | 1861780645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 107452) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF84016) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2021-05-28 |