| NPI | 1609767219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 148893) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 17466) |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |