| NPI | 1174001218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC9662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC5258) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2021-07-20 |