| NPI | 1316422942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 17239) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TE1100X Psychologist Exercise & Sports | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2024-08-31 |