| NPI | 1578017125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA PCCI2179) |
| Additional Taxonomies | 101YS0200X Counselor School |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |