| NPI | 1881945178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 9211) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 6723) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2021-02-16 |