| NPI | 1689499238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT141369) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC14450) |
| Enumeration Date | 2024-11-19 |
| Last Update Date | 2024-11-19 |