| NPI | 1962065045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 10533) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4431) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-09-19 |