| NPI | 1427116722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC7934) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: ME CC2639) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-12-02 |