| NPI | 1174925747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 92964) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: CA 63993) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2019-09-14 |