| NPI | 1386397446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LPCC16376) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC10671) |
| Enumeration Date | 2022-01-30 |
| Last Update Date | 2024-06-06 |