| NPI | 1588272363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA 113952) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 113952) |
| 101YM0800X Counselor Mental Health (Licence: CA 75790) | |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2023-06-29 |