| NPI | 1093169286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LPCC4761) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CA 1175) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2020-10-06 |