| NPI | 1962887828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: 8362) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 3113) |
| 101YP2500X Counselor, Professional (Licence: CA 8362) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2022-05-06 |