| NPI | 1033350871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 10570) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MO 001019) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2022-10-11 |