| NPI | 1003351628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 82457) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: CA LMFT82457) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2023-01-19 |