| NPI | 1083979751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC4012) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC4012) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2019-05-29 |