| NPI | 1578045365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 12753) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 5469) |
| 101YP2500X Counselor Professional (Licence: CA 5469) | |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2022-12-07 |