| NPI | 1982105755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR T1373) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 47655) |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2020-10-21 |