| NPI | 1609397793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 188207) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA LPCC8277) |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2025-11-06 |