| NPI | 1053914689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 98063) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2023-06-15 |