| NPI | 1649977752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 13310) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC13310) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2025-06-09 |