| NPI | 1891930517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 97606) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 12347) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2025-09-03 |