| NPI | 1811395858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 4611) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WI 2303-226) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2018-03-17 |