| NPI | 1780133850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC9161) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA PCCI2336) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2021-01-28 |