| NPI | 1821265851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR R0709) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 19587) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2025-09-29 |