| NPI | 1922773134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 148797) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 125405) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2025-03-18 |