| NPI | 1669017182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 12802) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC8067) |
| 101YM0800X Counselor, Mental Health (Licence: CA APC1293) | |
| 101YP2500X Counselor, Professional (Licence: CA APCC8067) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2022-12-12 |