| NPI | 1205659281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT137302) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC13126) |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |