| NPI | 1407193667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 33817) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA 79279) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2021-03-23 |