| NPI | 1689924649 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC5933)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PCCI1363)  | 
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA PCCI1363)  | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-09-17 | 
| Last Update Date | 2023-04-17 |