| NPI | 1629539424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA AMFT111617) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA APCC6064) |
| 101YP2500X Counselor Professional (Licence: CA APCC6064) | |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2021-02-08 |