| NPI | 1104387778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 18256) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA APCC6038) |
| 101YM0800X Counselor, Mental Health | |
| 101YM0800X Counselor, Mental Health (Licence: CA LPCC18256) | |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA APCC6038) | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2025-08-23 |