| NPI | 1336428317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT139465) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF73718) |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT110989) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2023-07-02 |