| NPI | 1265783054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC 2850) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NY LMHC 006889) |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2016-10-06 |