| NPI | 1194982611 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFC 43500)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA MFC43500)  | 
| 101YM0800X Counselor, Mental Health (Licence: CA 43500)  | |
| 106H00000X Marriage & Family Therapist (Licence: CA 43500)  | |
| Enumeration Date | 2008-05-21 | 
| Last Update Date | 2025-08-28 |