| NPI | 1922553403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 18265) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 9505) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2025-07-10 |