| NPI | 1356022719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 140078) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14087) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2025-11-09 |