| NPI | 1063016467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT119098) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LMFT6579T) |
| 101YM0800X Counselor, Mental Health (Licence: MO 2020035071) | |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |