| NPI | 1164199592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA APCC13480) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CA 13480) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2025-09-18 |