| NPI | 1508690223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA APCC21168) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT159658) |
| Enumeration Date | 2024-08-27 |
| Last Update Date | 2026-07-30 |