| NPI | 1427489228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA PSB94025259) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2020-01-09 |