| NPI | 1689040230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LMFT116668) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA IMF86936) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2020-04-21 |