| NPI | 1619522539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC15694) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC15694) |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC9147) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2026-09-01 |