| NPI | 1740034735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA AMFT143587) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC15455) |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-16 |