| NPI | 1093683294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 156542) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 20040) |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2025-10-30 |