| NPI | 1770128027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA LPCC12755) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LPCC12755) |
| 101YM0800X Counselor, Mental Health (Licence: CA APCC6963) | |
| Enumeration Date | 2019-11-11 |
| Last Update Date | 2023-11-29 |