| NPI | 1720763865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA APCC13572) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APPC13572) |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2025-03-18 |