| NPI | 1215308549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 125407) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 87494) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2024-01-30 |