| NPI | 1770060253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 9395) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 4488) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2021-05-11 |