| NPI | 1366967473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 20947) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 7336) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 7336) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2025-10-24 |