| NPI | 1811728884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 17826) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 10696) |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2025-02-07 |