| NPI | 1104372044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9441) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4241) |
| 101YP2500X Counselor, Professional (Licence: CA 4241) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2021-03-31 |