| NPI | 1962637629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC 1787) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 49426) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2024-07-18 |