| NPI | 1972048767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 11028) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 3559) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2022-01-17 |