| NPI | 1447868971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 118834) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 0815) |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2026-03-23 |