| NPI | 1831882802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CA AMFT137037) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: CA AMFT137037) |
| 101YM0800X Counselor, Mental Health (Licence: CA AMFT137037) | |
| Enumeration Date | 2023-05-26 |
| Last Update Date | 2023-05-26 |