| NPI | 1396402459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 161773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 117549) |
| 101YM0800X Counselor, Mental Health (Licence: CA 7312) | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2026-03-12 |