| NPI | 1114545670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 7676) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: CA 3954) |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-07-10 |