| NPI | 1255701298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 3179) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 3179) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2020-11-17 |