| NPI | 1861084089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 98693) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-03-08 |