| NPI | 1699561175 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA ASW128336)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: ASW128336)  | 
| Enumeration Date | 2025-04-19 | 
| Last Update Date | 2025-04-19 |