| NPI | 1871090910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA APCC6101) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: CA 0278408) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2019-03-27 |