| NPI | 1083102719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 6849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY 008440-1) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2025-03-17 |