| NPI | 1679748370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 16702) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC16702) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2024-08-08 |