| NPI | 1902478951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 29512) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 25912) |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2021-07-12 |