| NPI | 1801331822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA imf 73837) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSB94023890) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2018-07-03 |