| NPI | 1770096323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 10095) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 4531) |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2021-10-19 |