| NPI | 1093049108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC2389) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 8996) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2023-08-02 |