| NPI | 1528474442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CA LPCC) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA PCCI1799) |
| Enumeration Date | 2014-07-11 |
| Last Update Date | 2019-10-07 |