| NPI | 1629854682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LCM844) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 94781) |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-06 |