| NPI | 1033655436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC9989) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 11092) |
| 101YM0800X Counselor, Mental Health (Licence: MN cc02390) | |
| 101YP2500X Counselor, Professional (Licence: CA 9989) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2024-06-17 |