| NPI | 1821201807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LMFT147515) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC26413) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2024-07-24 |