| NPI | 1487420295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 15126) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MN cc04515) |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2026-06-15 |