| NPI | 1003178484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 7731) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7258) |
| 101YM0800X Counselor, Mental Health (Licence: CA 522) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2020-04-02 |