| NPI | 1205493301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 10528) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 5636) |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2021-10-20 |