| NPI | 1659613982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT112349) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA LMFT12349) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2023-02-01 |