| NPI | 1598133415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4743) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 15947) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2024-03-05 |