| NPI | 1073692133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC13013) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MI 6401009080) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-07-29 |