| NPI | 1780994251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC3289) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC3289) |
| 101YM0800X Counselor, Mental Health (Licence: WA LH60805759) | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2024-04-24 |