| NPI | 1386150159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 12987-R) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA 12987-R) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2019-07-19 |