| NPI | 1477169647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15110) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: UT 14257276-6004) |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2026-03-16 |