| NPI | 1962918516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14641) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-01-31 |