| NPI | 1306153846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT 67872) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA RPS2011116) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2024-01-05 |