| NPI | 1568250900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT154014) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PCC19061) |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-06-03 |