| NPI | 1255947024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT135591) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT121027) |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2023-01-05 |