| NPI | 1376207613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 10530) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA 14926-RAC) |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |