| NPI | 1750646063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC5584) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH12500) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2026-02-13 |