| NPI | 1760025027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC20327) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA APCC10113) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-10-18 |
| Last Update Date | 2025-09-04 |