| NPI | 1134291305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT49422) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF48953) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2022-09-07 |