| NPI | 1518376821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC11038) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC9592) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2024-08-02 |