| NPI | 1902195142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 9708) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH14270) |
| 101YM0800X Counselor, Mental Health (Licence: CA 9708) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2023-06-29 |