| NPI | 1891377313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 133130) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 116051) |
| Enumeration Date | 2021-04-23 |
| Last Update Date | 2022-06-21 |