| NPI | 1740659564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional (Licence: CA LPCC18982) | |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2025-06-26 |