| NPI | 1821554478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA LPCC8865) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA APCC5230) |
| 101YM0800X Counselor, Mental Health (Licence: PA PC007359) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2021-04-19 |