| NPI | 1609386572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC9657) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 4152) |
| 101YP2500X Counselor, Professional (Licence: CA APCC4152) | |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2021-07-22 |