| NPI | 1942869490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 85282) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW85280) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2023-02-28 |