| NPI | 1730203001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 90732) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2023-11-07 |