| NPI | 1962808279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 11643) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 13061-MH-CC) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2025-09-18 |