| NPI | 1497395255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LPCC10515) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: MT BBH-LCPC-LIC-38202) |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2021-10-27 |