| NPI | 1114279353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC12495) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0064041) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2023-09-25 |