| NPI | 1114769502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT146942) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC16618) |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |