| NPI | 1124624499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA APCC7161) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA APCC7161) |
| 101Y00000X Counselor (Licence: CA APCC7161) | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2025-06-20 |