| NPI | 1659620888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 105528) |
| Enumeration Date | 2012-09-04 |
| Last Update Date | 2025-08-07 |