| NPI | 1902456577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 11465) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 6244) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2022-07-18 |