| NPI | 1518590165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC12854) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC7358) |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-01-24 |