| NPI | 1912323767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 3158) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA LPCC3158) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2022-05-03 |