| NPI | 1003271842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 5004) |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2020-12-01 |