| NPI | 1861899585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 6072) |
| 101YP2500X Counselor, Professional (Licence: CA 13460) | |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2023-10-05 |