| NPI | 1194439398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT47608) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: PA MF001302) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |