| NPI | 1649731878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA MFT35726) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA mft35726) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |