| NPI | 1184489577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA 15710) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 15710) |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-20 |