| NPI | 1972913598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 3809) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0011927) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2020-03-30 |