| NPI | 1811376049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 86597) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 86597) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-08-06 |