| NPI | 1871257634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: CA D6415028) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-11-04 |