| NPI | 1063008373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 98453) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 138613) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2026-06-14 |