| NPI | 1275329781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R12014) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CA PSB94028968) |
| Enumeration Date | 2025-04-19 |
| Last Update Date | 2025-09-24 |