| NPI | 1619455086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 14116) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CA 14218) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2024-04-15 |