| NPI | 1114265840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R2813) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC22156) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2026-04-17 |