| NPI | 1477029148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 124617) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 759) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2026-06-05 |