| NPI | 1447611074 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 4750) | 
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCC12680) | 
| 101YP2500X Counselor, Professional (Licence: SC 8983) | |
| Enumeration Date | 2016-03-09 | 
| Last Update Date | 2023-07-20 |