| NPI | 1255911244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 130642) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT117760) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2022-04-01 |