| NPI | 1760732853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA AMFT135197) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2012-09-15 |
| Last Update Date | 2023-09-12 |