| NPI | 1679069488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 163925) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2026-09-04 |