| NPI | 1649750977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC17824) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC10679) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2025-01-16 |