| NPI | 1225385420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 93622) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF 71230) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2024-02-05 |