| NPI | 1265899330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 7347) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A12070) |
| 101YM0800X Counselor, Mental Health (Licence: CA 7347) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2022-01-20 |