| NPI | 1609031970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LMFT 1206) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: SD 2022) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2021-05-06 |