| NPI | 1821714494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CA 133617) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 103TC1900X Psychologist, Counseling (Licence: CA 133617) | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-08-19 |