| NPI | 1073968160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LMFT132028) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA AMFT105215) |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2022-06-29 |