| NPI | 1902464464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 214238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 214238) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2022-05-04 |