| NPI | 1982730297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 11506) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional (Licence: CA 11506) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2023-12-08 |