| NPI | 1720525595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LCSW90325) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA ASW72329) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2023-10-27 |