| NPI | 1902584154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA APCC14162) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225600000X Dance Therapist | |
| 225C00000X Rehabilitation Counselor | |
| 101200000X | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 102X00000X Poetry Therapist | |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 171400000X | |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2025-06-09 |