| NPI | 1104388248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11682) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 5955) |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2022-12-05 |