| NPI | 1629761440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: CA 114701) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 114701) |
| Enumeration Date | 2023-05-29 |
| Last Update Date | 2025-09-11 |