| NPI | 1124613401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC9221) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA LPC007600) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-11 |