| NPI | 1629723853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 106414) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA 106414) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-07-11 |