| NPI | 1336446277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT81849) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF51826) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2020-08-13 |