| NPI | 1386211266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC16994) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC9616) |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-09-24 |