| NPI | 1205609328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 138363) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 13551) |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |