| NPI | 1164950556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC8386) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C6456) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2026-02-20 |