| NPI | 1376157818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC13092) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: AZ LPC23647) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2025-06-26 |