| NPI | 1053071407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC421) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC4268) |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |