| NPI | 1831272301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 16566) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: HI 1024) |
| 101YP2500X Counselor, Professional (Licence: NV 0014) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2026-04-06 |