| NPI | 1598358772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 15875) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH18834) |
| 101YP2500X Counselor, Professional (Licence: NV CP3221-R) | |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2024-03-22 |