| NPI | 1184109563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LPCC10713) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC5281) |
| 101YP2500X Counselor Professional (Licence: CA LPCC10713) | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2023-06-06 |