| NPI | 1023876182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 12983) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NV CI5496) |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2025-02-06 |