| NPI | 1043805898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 18127) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ 21200) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2024-12-12 |