| NPI | 1871093237 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 11185)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| 101YM0800X Counselor, Mental Health (Licence: UT 9193274-6009)  | |
| 101YM0800X Counselor, Mental Health (Licence: CA 11185)  | |
| Enumeration Date | 2018-02-12 | 
| Last Update Date | 2022-09-08 |