| NPI | 1285937607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT107349) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2018-07-12 |