| NPI | 1780022178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 11182) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 251S00000X Community/Behavioral Health (Licence: CA 11182) | |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2024-09-19 |