| NPI | 1720405095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 7667) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 7667) |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2022-11-08 |