| NPI | 1376050070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA PCCI4341) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-03-03 |