| NPI | 1750946497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT123671) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA AMFT102173) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2021-01-14 |