| NPI | 1588248371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT125319) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC9535) |
| Enumeration Date | 2021-05-08 |
| Last Update Date | 2021-05-08 |