| NPI | 1114523511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 127298) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT90521) |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2023-03-23 |