| NPI | 1689902496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CA LCS13576) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CA LCS 13576) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2018-08-30 |