| NPI | 1164730560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC3363) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY P81186) |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2023-11-25 |