| NPI | 1639543465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA PCCI3450) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: IL 631285) |
| 101Y00000X Counselor | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-11-04 |