| NPI | 1497174502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC12754) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| 101YM0800X Counselor Mental Health (Licence: CA LPCC12754) | |
| 101YP2500X Counselor Professional (Licence: CA APC6309) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2022-12-22 |