| NPI | 1831655018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15745) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: NC 14652) |
| 101YM0800X Counselor, Mental Health (Licence: CA 15745) | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2026-08-24 |