| NPI | 1447758248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 83218) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 67300) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2019-05-14 |