| NPI | 1659952075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39003223A) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IN 35001958A) |
| 101YP2500X Counselor, Professional (Licence: CA LMFT124610) | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2022-01-13 |