| NPI | 1871976571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PCCI2847) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional (Licence: CA PCC12847) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2018-03-17 |