| NPI | 1306709407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 145423) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 16044) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0023071) | |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2025-12-05 |