| NPI | 1801642301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 13940) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 220117881) |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2025-11-12 |