| NPI | 1447640420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC11334) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 225600000X Dance Therapist | |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2022-04-25 |