| NPI | 1013797950 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 11441) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 11441) |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-11-06 |