| NPI | 1407713712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 145348) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 15929) |
| Enumeration Date | 2026-01-07 |
| Last Update Date | 2026-01-07 |