| NPI | 1245776855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LPCC13283) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA APCC5461) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2023-02-23 |