| NPI | 1255753406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 76470) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 60298) |
| Enumeration Date | 2014-01-07 |
| Last Update Date | 2020-07-30 |