| NPI | 1174135024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 18663) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA 13326) |
| 101YP2500X Counselor, Professional (Licence: CA 8562) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2025-04-29 |