| NPI | 1457480998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA MFC8315) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT8315) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2022-04-29 |