| NPI | 1487225322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC14333) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12278-MH-CC.) |
| Enumeration Date | 2021-07-01 |
| Last Update Date | 2023-11-21 |