| NPI | 1356795587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC10092) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 2280) |
| 101YM0800X Counselor, Mental Health (Licence: CA PCCI2280) | |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC2280) | |
| 101YP2500X Counselor, Professional (Licence: CA LPCC10092) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2021-10-15 |