| NPI | 1023630498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT117754) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC7710) |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |