| NPI | 1669819009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 99292) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2019-10-24 |