| NPI | 1306363874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14058) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 15301) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2025-09-23 |