| NPI | 1902943004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW115536) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA LW00007352) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-09-22 |