| NPI | 1174153936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13169) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH17716) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2026-04-28 |