| NPI | 1255888517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 119192) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 95026) |
| Enumeration Date | 2016-09-04 |
| Last Update Date | 2023-02-13 |