| NPI | 1336549401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 13934) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 6857) |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2025-05-14 |