| NPI | 1043744055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 8516) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 8516) |
| 101YP2500X Counselor, Professional (Licence: CA 2131) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2018-06-29 |