| NPI | 1457975773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC8956) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC3176) |
| 101YP2500X Counselor, Professional (Licence: CA LPCC8956) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2023-08-15 |