| NPI | 1821663980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA 20053) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 14475) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA APCC14475) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-07-31 |