| NPI | 1124108063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT35782) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA MFC35782) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2019-11-13 |