| NPI | 1023675758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11620) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4358) |
| 101YP2500X Counselor, Professional (Licence: CA 4358) | |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2022-05-25 |