| NPI | 1225408990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 102218) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2022-12-06 |