| NPI | 1962687798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 4170) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MS 0747) |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2023-09-20 |