| NPI | 1174945018 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC14675)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA APCC3559)  | 
| 101YM0800X Counselor, Mental Health (Licence: CA APCC3559)  | |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC6861)  | |
| 101YP2500X Counselor, Professional (Licence: CA APCC6861)  | |
| Enumeration Date | 2014-01-13 | 
| Last Update Date | 2023-11-29 |