| NPI | 1982029427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 8405) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0701006993) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2023-11-02 |