| NPI | 1578225074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA APCC10763) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC10763) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2022-11-23 |