| NPI | 1194050997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL PMH1752) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA RPS2009032) |
| Enumeration Date | 2009-10-12 |
| Last Update Date | 2021-08-19 |