| NPI | 1578980207 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 5922) | 
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 160022713) | 
| Enumeration Date | 2014-03-19 | 
| Last Update Date | 2024-04-26 |