| NPI | 1740829357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 14497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: VA 0701014668) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2026-04-07 |