| NPI | 1639541238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA IMF84984) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA PCCI1962) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |