| NPI | 1164053393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 19195) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7390) |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2025-08-26 |