| NPI | 1588796551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81541) |
| 101YM0800X Counselor, Mental Health (Licence: AL 4956C) | |
| 101YM0800X Counselor, Mental Health (Licence: AZ 19347) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2024-02-15 |