| NPI | 1679405013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 17512) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0006351) |
| Enumeration Date | 2026-06-01 |
| Last Update Date | 2026-06-01 |