| NPI | 1558720763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT112940) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA IMF90031) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2019-12-13 |