| NPI | 1508302092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 83508) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 106265) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2024-12-26 |