| NPI | 1144942475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 116718) |
| Additional Taxonomies | 251S00000X |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2023-07-27 |