| NPI | 1083063051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 9835) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: GA 008246) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2026-01-06 |