| NPI | 1669811964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA CA3956) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 4194) |
| 101YP2500X Counselor, Professional (Licence: CA 3956) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2018-09-14 |