| NPI | 1558856286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 13062) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC5483) |
| 101YM0800X Counselor, Mental Health (Licence: CA 13062) | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2023-12-04 |