| NPI | 1124441662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC3987) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 00317065) |
| 101YP2500X Counselor, Professional (Licence: CA 20) | |
| Enumeration Date | 2014-02-03 |
| Last Update Date | 2019-12-30 |