| NPI | 1679958094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC7465) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 1585) |
| 101YM0800X Counselor Mental Health (Licence: CA 7465) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-03-07 |