| NPI | 1245880046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 115163) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW91617) |
| 101YM0800X Counselor, Mental Health (Licence: CA 91617) | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2023-05-09 |