| NPI | 1629427216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 13439) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 3832) |
| 101YM0800X Counselor, Mental Health (Licence: CA 13439) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-05-24 |